Friday, May 30, 2008

Diagnostic Error: Is Overconfidence the Problem

special issue
The American Journal of Medicine Volume 121, Issue 5, Supplement (May 2008)
Edited by Mark L. Graber , Eta S. Berner
Table of contents (Free full text available)

Thursday, May 29, 2008

Quality & Accountability

PROLOGUE: Improving Quality And Accountability
[Extract] [Full Text] [PDF]

Margaret O’Kane, Janet Corrigan, Sandra M. Foote, Sean R. Tunis, George J. Isham, Len M. Nichols, Elliott S. Fisher, Jack C. Ebeler, James A. Block, Bruce E. Bradley, Christine K. Cassel, Debra L. Ness, and John Tooker
[Abstract] [Full Text] [PDF]

Donald M. Berwick, Thomas W. Nolan, and John Whittington
[Abstract] [Full Text] [PDF]

Wednesday, May 28, 2008

Informatics Opportunities: The Intersection of Patient Safety and Clinical Informatics

Peter M. Kilbridge, and David C. Classen
J. Am. Med. Inform. Assoc. published ahead of print on April 24, 2008 as doi:10.1197/jamia.M2735
abstract Full Text (PDF)

Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety

Ross Koppel, Tosha Wetterneck, Joel Leon Telles, and Ben-Tzion Karsh
J. Am. Med. Inform. Assoc. published ahead of print on April 24, 2008 as doi:10.1197/jamia.M2616
abstract Full Text (PDF)

Tuesday, May 27, 2008

Review: How Do Hospital Organizational Structure and Processes Affect Quality of Care?

A Critical Review of Research Methods
Hearld, Larry R., Alexander, Jeffrey A., Fraser, Irene, Jiang, H. Joanna
Med Care Res Rev 2008 65: 259-299
[Abstract] [PDF] [References]

Monday, May 26, 2008

The Effect of Consistent Nursing Shifts on Teamwork and Continuity of Care.

Kalisch, Beatrice J. ; Begeny, Suzanne ; Anderson, Christine
Journal of Nursing Administration. 38(3):132-137, March 2008.
Abstract HTML PDF (431 K)

Practice Features Associated With Patient-Reported Accessibility, Continuity, and Coordination of Primary Health Care

Haggerty, Jeannie L., Pineault, Raynald, Beaulieu, Marie-Dominique, Brunelle, Yvon, Gauthier, Josee, Goulet, Francois, Rodrigue, Jean
Ann Fam Med 2008 6: 116-123
[Abstract] [Full Text] [PDF]

Saturday, May 24, 2008

The Quest for Quality in the NHS: Refining the NHS Reforms

This new report from the Nuffield Trust examines in depth the progress of and quality of care in the NHS over a 10-year period.

The Quest for Quality is a thorough and comprehensive compilation of key indicators over time, with an accompanying policy analysis.

Related article

Quality improvement in the NHS
Nick Black
BMJ 2008;336:1143

Thursday, May 22, 2008

Wednesday, May 21, 2008

AHRQ - Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

Agency for Healthcare Research and Quality (AHRQ) has prepared this comprehensive handbook for nurses on patient safety and quality
Experts in the field reviewed the literature, and their contributions are grouped into these sections:

Tuesday, May 20, 2008

TeamSTEPPS Web Site

The Department of Defense, in collaboration with the Agency for Healthcare Research and Quality (AHRQ), developed TeamSTEPPST, an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals.
It includes a comprehensive set of ready-to-use materials and a training curriculum to successfully integrate teamwork principles into any health care system.
Web Site

Monday, May 19, 2008

An international review of projects on hospital performance assessment

Oliver Groene, Jutta K. H. Skau, and Anne Frølich
Int J Qual Health Care 2008 20: 162-171
[Abstract] [Full Text] [PDF]

The World Health Organization Performance Assessment Tool for Quality Improvement in Hospitals (PATH):

An Analysis of the Pilot Implementation in 37 Hospitals
Oliver Groene, Niek Klazinga, Vahé Kazandjian, Pierre Lombrail, and Paul Bartels
Int J Qual Health Care 2008 20: 155-161
[Abstract] [Full Text] [PDF]

Friday, May 16, 2008

Reconceptualizing the Informed Consent Process at Eight Innovative Hospitals

Matiasek, Jennifer; Wynia, Matthew K.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 3, March 2008 , pp. 127-137(11)

Thursday, May 15, 2008

How Often are Potential Patient Safety Events Present on Admission?

Houchens, Robert L.; Elixhauser, Anne; Romano, Patrick S.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 3, March 2008 , pp. 154-163(10)

Addressing postdischarge adverse events: a neglected area.

Tsilimingras D, Bates DW.
Jt Comm J Qual Patient Saf. 2008 Feb;34(2):85-97.

Wednesday, May 14, 2008

Quality and the NHS Next Stage Review

Ara Darzi
The Lancet 371 ;9624 : 1563-1564
Full Text

Our NHS, our future: NHS next stage review—interim report

Tuesday, May 13, 2008

Barcoded Medication Administration: A Last Line of Defense

David W. Cescon; Edward Etchells
JAMA. 2008;299(18):2200-2202.

Monday, May 12, 2008

Health sector accreditation research: a systematic review

David Greenfield and Jeffrey Braithwaite
Int J Qual Health Care 2008 20: 172-183
[Abstract] [Full Text] [PDF]

Friday, May 09, 2008

The Wisdom and Justice of Not Paying for "Preventable Complications"

Peter J. Pronovost, Christine A. Goeschel, Robert M. Wachter
JAMA. 2008;299(18):2197-2199.

Thursday, May 08, 2008

Etiquette-Based Medicine

Kahn, Michael W.
N Engl J Med 2008 358: 1988-1989
Extract FREE Full Text PDF

Wednesday, May 07, 2008

Tuesday, May 06, 2008

Detection and prevention of medication misadventures in general practice

Ka Wae Tammy Tam, Hung Kon Kwok, Yuen Man Cecilia Fan, Kwok Biu Tsui, Kwok Keung Ng, King Yip Anthony Ho, Kam Tong Lau, Yuk Chun Chan, Ching Wan Charmaine Tse, and Cheuk Man Lau
Int J Qual Health Care 2008 20: 192-199
[Abstract] [Full Text] [PDF]

Attitudes toward the large-scale implementation of an incident reporting system

Jeffrey Braithwaite, Mary Westbrook, and Joanne Travaglia
Int J Qual Health Care 2008 20: 184-191
[Abstract] [Full Text] [PDF]

Monday, May 05, 2008

Do the AHRQ Patient Safety Indicators Flag Conditions That Are Present at the Time of Hospital Admission?

Bahl, Vinita; Thompson, Maureen A.; Kau, Tsui-Ying; Hu, Hsou Mei; Campbell, Darrell A. Jr
Medical Care. 46(5):516-522, May 2008.
Abstract HTML PDF (255 K)

Friday, May 02, 2008

Preventing Wrong-Site Surgery

This toolkit from the Patient Safety Authority includes educational resources, snapshots and articles to aid healthcare facilities in preventing wrong-site surgery.

Thursday, May 01, 2008

How can quality of health care be safeguarded across the European Union?

Helena Legido-Quigley, Martin McKee, Kieran Walshe, Rosa Suñol, Ellen Nolte, Niek Klazinga
BMJ 2008;336:920-923
[Extract] [Full text] [PDF]